GIANT PRESEPTAL UPPER EYELID LIPOMA, A CASE REPORT

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Rodiah Rahmawaty Lubis

Lipomas are fatty subcutaneous lesions. Eyelid lipomas are rarely described and reported. A lipoma is a painless tumor; however, it may interfere with the eyelid function and cosmetics.  The objective of this study is to illustrate a case of giant preseptal upper eyelid lipoma on the left eye. A 39-year-old man presented with a large painless tumor on the left upper eyelid. It was a slow-growing tumor that caused mechanical ptosis. The Orbital Multi Sliced Computed Tomography Scan (MSCT-Scan) revealed a hypodense lesion in left periorbital region, well-circumscribed, with no infiltration into the intraorbital and retrobulbar area. Orbital Magnetic Resonance Images (MRI) showed an oval lobulated mass, well-circumscribed, slightly isointense at T1, hyperintense at T2, and slightly hyperintense on FLAIR, which also revealed that the mass was bound firmly with the left superior orbit. Fine Needle Aspiration Biopsy revealed a C2 Benign smear, indicating a possible Lipoma. Simple anterior orbitotomy was performed and resulted in the successful removal of the entire tumor. The diagnosis of Lipoma was based on the histopathological examination results. The simple anterior orbitotomy that was performed, successfully removed the tumor. There was no recurrence of tumor after 3 years follow up. To our knowledge, this is the first reported case of a giant preseptal upper eyelid lipoma.

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